Effect of mobile application types on stroke rehabilitation: a systematic review
Abstract Background Stroke is a significant contributor of worldwide disability and morbidity with substantial economic consequences. Rehabilitation is a vital component of stroke recovery, but inpatient stroke rehabilitation programs can struggle to meet the recommended hours of therapy per day out...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-01-01
|
| Series: | Journal of NeuroEngineering and Rehabilitation |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12984-023-01124-9 |
| _version_ | 1811175917926481920 |
|---|---|
| author | Stephen G. Szeto Hoyee Wan Mohammad Alavinia Sean Dukelow Heather MacNeill |
| author_facet | Stephen G. Szeto Hoyee Wan Mohammad Alavinia Sean Dukelow Heather MacNeill |
| author_sort | Stephen G. Szeto |
| collection | DOAJ |
| description | Abstract Background Stroke is a significant contributor of worldwide disability and morbidity with substantial economic consequences. Rehabilitation is a vital component of stroke recovery, but inpatient stroke rehabilitation programs can struggle to meet the recommended hours of therapy per day outlined by the Canadian Stroke Best Practices and American Heart Association. Mobile applications (apps) are an emerging technology which may help bridge this deficit, however this area is understudied. The purpose of this study is to review the effect of mobile apps for stroke rehabilitation on stroke impairments and functional outcomes. Specifically, this paper will delve into the impact of varying mobile app types on stroke rehabilitation. Methods This systematic review included 29 studies: 11 randomized control trials and 18 quasi-experimental studies. Data extrapolation mapped 5 mobile app types (therapy apps, education apps, rehab videos, reminders, and a combination of rehab videos with reminders) to stroke deficits (motor paresis, aphasia, neglect), adherence to exercise, activities of daily living (ADLs), quality of life, secondary stroke prevention, and depression and anxiety. Results There were multiple studies supporting the use of therapy apps for motor paresis or aphasia, rehab videos for exercise adherence, and reminders for exercise adherence. For permutations involving other app types with stroke deficits or functional outcomes (adherence to exercise, ADLs, quality of life, secondary stroke prevention, depression and anxiety), the results were either non-significant or limited by a paucity of studies. Conclusion Mobile apps demonstrate potential to assist with stroke recovery and augment face to face rehabilitation, however, development of a mobile app should be carefully planned when targeting specific stroke deficits or functional outcomes. This study found that mobile app types which mimicked principles of effective face-to-face therapy (massed practice, task-specific practice, goal-oriented practice, multisensory stimulation, rhythmic cueing, feedback, social interaction, and constraint-induced therapy) and education (interactivity, feedback, repetition, practice exercises, social learning) had the greatest benefits. Protocol registration PROPSERO (ID CRD42021186534). Registered 21 February 2021 |
| first_indexed | 2024-04-10T19:44:50Z |
| format | Article |
| id | doaj.art-057bf2c94ffe4683b6cbc0fbb4558a93 |
| institution | Directory Open Access Journal |
| issn | 1743-0003 |
| language | English |
| last_indexed | 2024-04-10T19:44:50Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of NeuroEngineering and Rehabilitation |
| spelling | doaj.art-057bf2c94ffe4683b6cbc0fbb4558a932023-01-29T12:06:01ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032023-01-0120111810.1186/s12984-023-01124-9Effect of mobile application types on stroke rehabilitation: a systematic reviewStephen G. Szeto0Hoyee Wan1Mohammad Alavinia2Sean Dukelow3Heather MacNeill4Division of Physical Medicine & Rehabilitation, Department of Medicine, University of TorontoDivision of Plastic, Reconstructive, and Aesthetic Surgery, University of TorontoDivision of Physical Medicine & Rehabilitation, Department of Medicine, University of TorontoDivision of Physical Medicine & Rehabilitation, Department of Clinical Neurosciences, Cumming School of Medicine, University of CalgaryDivision of Physical Medicine & Rehabilitation, Department of Medicine, University of TorontoAbstract Background Stroke is a significant contributor of worldwide disability and morbidity with substantial economic consequences. Rehabilitation is a vital component of stroke recovery, but inpatient stroke rehabilitation programs can struggle to meet the recommended hours of therapy per day outlined by the Canadian Stroke Best Practices and American Heart Association. Mobile applications (apps) are an emerging technology which may help bridge this deficit, however this area is understudied. The purpose of this study is to review the effect of mobile apps for stroke rehabilitation on stroke impairments and functional outcomes. Specifically, this paper will delve into the impact of varying mobile app types on stroke rehabilitation. Methods This systematic review included 29 studies: 11 randomized control trials and 18 quasi-experimental studies. Data extrapolation mapped 5 mobile app types (therapy apps, education apps, rehab videos, reminders, and a combination of rehab videos with reminders) to stroke deficits (motor paresis, aphasia, neglect), adherence to exercise, activities of daily living (ADLs), quality of life, secondary stroke prevention, and depression and anxiety. Results There were multiple studies supporting the use of therapy apps for motor paresis or aphasia, rehab videos for exercise adherence, and reminders for exercise adherence. For permutations involving other app types with stroke deficits or functional outcomes (adherence to exercise, ADLs, quality of life, secondary stroke prevention, depression and anxiety), the results were either non-significant or limited by a paucity of studies. Conclusion Mobile apps demonstrate potential to assist with stroke recovery and augment face to face rehabilitation, however, development of a mobile app should be carefully planned when targeting specific stroke deficits or functional outcomes. This study found that mobile app types which mimicked principles of effective face-to-face therapy (massed practice, task-specific practice, goal-oriented practice, multisensory stimulation, rhythmic cueing, feedback, social interaction, and constraint-induced therapy) and education (interactivity, feedback, repetition, practice exercises, social learning) had the greatest benefits. Protocol registration PROPSERO (ID CRD42021186534). Registered 21 February 2021https://doi.org/10.1186/s12984-023-01124-9Mobile applicationStroke rehabilitationSystematic review |
| spellingShingle | Stephen G. Szeto Hoyee Wan Mohammad Alavinia Sean Dukelow Heather MacNeill Effect of mobile application types on stroke rehabilitation: a systematic review Journal of NeuroEngineering and Rehabilitation Mobile application Stroke rehabilitation Systematic review |
| title | Effect of mobile application types on stroke rehabilitation: a systematic review |
| title_full | Effect of mobile application types on stroke rehabilitation: a systematic review |
| title_fullStr | Effect of mobile application types on stroke rehabilitation: a systematic review |
| title_full_unstemmed | Effect of mobile application types on stroke rehabilitation: a systematic review |
| title_short | Effect of mobile application types on stroke rehabilitation: a systematic review |
| title_sort | effect of mobile application types on stroke rehabilitation a systematic review |
| topic | Mobile application Stroke rehabilitation Systematic review |
| url | https://doi.org/10.1186/s12984-023-01124-9 |
| work_keys_str_mv | AT stephengszeto effectofmobileapplicationtypesonstrokerehabilitationasystematicreview AT hoyeewan effectofmobileapplicationtypesonstrokerehabilitationasystematicreview AT mohammadalavinia effectofmobileapplicationtypesonstrokerehabilitationasystematicreview AT seandukelow effectofmobileapplicationtypesonstrokerehabilitationasystematicreview AT heathermacneill effectofmobileapplicationtypesonstrokerehabilitationasystematicreview |